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Massachusetts rates for HCPCS 81422

Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.63 / $1,745.81 / $2,905.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $561.63 / $683.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.83 / $1,320.75 / $3,605.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $759.05 / $2,850.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.38 / $1,725.12 / $3,015.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.00 / $645.00 / $751.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.38 / $605.21 / $1,726.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.53 / $728.71 / $1,978.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.45 / $1,095.45 / $1,288.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $2,350.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.75 / $3,605.49 / $3,605.49
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.57 / $481.40 / $3,795.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $481.40 / $1,458.14